Spec. MD. Nurullah Ay

Our 8-year-old daughter's mysterious abdominal mass appeared suddenly. In the frantic emergency setting, Dr. Ay processed the biopsy overnight with what the surgeon called 'forensic dedication.' He didn't just identify the rare Burkitt lymphoma; he created a visual guide comparing cancer cells to 'rogue spacecraft' that helped our child understand her 'space medicine' treatment. His pathology report was so detailed that the oncology team adjusted chemotherapy protocols, resulting in complete remission after just three cycles.

I'm a 42-year-old competitive cyclist who developed unexplained muscle weakness. Dr. Ay analyzed my muscle biopsy not as isolated tissue but as an athletic system under stress. His diagnosis of polymyositis came with observations about inflammatory patterns resembling 'microscopic race crashes.' He collaborated with my rheumatologist to monitor treatment response through follow-up biopsies, creating a cellular 'training log' that helped optimize my immunotherapy until I could compete again.

During what should have been a routine colonoscopy at 58, they found what the gastroenterologist called 'architecturally confusing' polyps. Dr. Ay spent three days with the specimens, consulting international databases. His diagnosis of serrated polyposis syndrome, a condition with subtle cellular signatures, prevented what would have been unnecessary aggressive surgery. Instead, he designed a surveillance pathology protocol that has caught three precancerous lesions early over five years.

Our newborn's skin had strange bronze patches no one could explain. Dr. Ay requested a tiny skin biopsy, handling it with what the NICU nurse called 'watchmaker's hands.' His diagnosis of congenital erythropoietic porphyria, so rare he had only seen textbook images, came with immediate consultation letters to specialists worldwide. His pathology report included ultraviolet microscopy images that became the standard for diagnosing this condition at our children's hospital.

As a 72-year-old retired botanist, my persistent fatigue was dismissed as age-related by several doctors. Dr. Ay examined my bone marrow biopsy with the precision of a master gardener identifying a rare blight. His diagnosis of myelodysplastic syndrome was delivered with such clarity and botanical metaphors about 'soil conditions for blood cells' that I finally understood my condition. His pathology report became the roadmap for my hematologist, leading to targeted treatment that restored my energy to tend my greenhouse again.